A main focus of KPT is the specialization of pelvic floor physical therapy for women and children, but anything from headaches, jaw and neck pain, back and hip pain down to plantar fasciitis can be treated at KPT!
The best way to treat issues like pelvic pain and incontinence is pelvic floor therapy. Many women experience these issues specifically after having a baby, but pelvic floor therapy can be beneficial at any point. For adults, an internal pelvic floor exam is the ideal way to assess what’s truly going on with the muscles of the pelvis, but if a patient isn’t comfortable with having an internal exam, modifications can be made. For children, there is never an internal exam. The muscles can be assessed visually (with the child’s and parent’s permission) and/or with biofeedback, which can tell us if the muscles are firing and relaxing properly. And if a child isn’t comfortable with either of those options, we can modify further. The patient’s privacy and comfort are of the utmost importance!
Like for adults, pelvic floor therapy for kids is multi-faceted. We address diet and activity, toileting posture, bowel and bladder habits, the overall pressure system and strength of the core, the strength and coordination of the pelvic floor muscles, and much more. What happens during the day (in terms of bowel and bladder habits) absolutely affects what happens at night (like bedwetting). In addition to bedwetting, we can treat daytime urine and stool leakage, constipation, and other toileting issues!
KPT accepts cash, check, credit/debit card, HSA/FSA. Due to insurance reimbursements steadily declining and becoming more restrictive, it was decided that rather than having an insurance rep (that knows nothing about you) determining your rehabilitation, Koch PT would be an out-of-network practice. This gives me, as your physical therapist, the freedom and flexibility to give you an HOUR of one-on-one time. This allows us to get more done each session, achieve faster results, and use fewer overall visits—meaning less time away from work or your family! I also like to be as transparent as possible: if I estimate that it’ll take 4-6 sessions, you’ll know approximately how much the total cost is in the end. There’s no co-pay now and surprise bill later. If you choose to self-submit a claim to your insurance for possible out-of-network reimbursement, I provide all of the necessary codes on your invoice. I am registered with an app called Reimbursify, which can help make the claim submission process easier!
This answer is, well, tricky. The easiest way of describing it is that there are specific rules and regulations when it comes to Medicare, and they don’t make it easy for people to work around their rules (like being out-of-network). Maybe it will change someday, but at this time, Koch PT does not treat Medicare patients; if you have Medicare and need help finding a great therapist, I’d be happy to help make a suggestion.
Dry needling is the use of very thin needles (“dry” because nothing is being injected or drawn out) to address areas of muscular tightness and tissue restrictions often called trigger points, to decrease pain, improve blood flow and facilitate healing. Oftentimes, dry needling is a manual intervention used in conjunction with other manual techniques (like IASTM, cupping, soft tissue mobilizations, joint mobilizations, etc.) and exercises during a physical therapy plan of care. However, for people who have already completed a PT plan of care (or maybe just don’t want one), a dry needling only session can be a great way to have a “tune-up” without any of the other PT interventions.
Absolutely! If you hold a lot of tension and stress in a certain area, or have a job that places excessive strain on your body, or if you just like how a therapy session helps prevent your pain and issues from returning, you can continue with a maintenance or wellness program. Some people choose to schedule a monthly visit, whereas others choose every 2 weeks—it’s whatever you want or need it to be! Prevention is key for keeping you doing what you need, want, and love to do!